<link href="//netdna.bootstrapcdn.com/bootstrap/3.1.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.1.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <div class="container"> <br> <br> <div class="row"> <div class="col-md-8"> <div class="well well-sm"> <form> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label for="name"> Nombre</label> <input type="text" class="form-control" id="name" placeholder="Ingrese su nombre" required="required" /> </div> <div class="form-group"> <label for="email"> Correo Electronico</label> <div class="input-group"> <span class="input-group-addon"><span class="glyphicon glyphicon-envelope"></span> </span> <input type="email" class="form-control" id="email" placeholder="Ingrese su correo" required="required" /></div> </div> <div class="form-group"> <label for="subject"> Asunto</label> <select id="subject" name="subject" class="form-control" required="required"> <option value="na" selected="">Seleciene una opcion:</option> <option value="service">Cotizacion</option> <option value="suggestions">Contacto</option> <option value="product">Product Support</option> </select> </div> </div> <div class="col-md-6"> <div class="form-group"> <label for="name"> Mensaje</label> <textarea name="message" id="message" class="form-control" rows="9" cols="25" required="required" placeholder="Ingrese mensaje"></textarea> </div> </div> <div class="col-md-12"> <button type="submit" class="btn btn-primary pull-right" id="btnContactUs"> Enviar Mensaje</button> </div> </div> </form> </div> </div> <div class="col-md-4"> <form> <legend><span class="glyphicon glyphicon-globe"></span> Nuestras Oficinas</legend> <address> <strong>CRISALUM</strong><br> #1305 Calle 2 de Abril<br> Monterrey, N.L<br> <abbr title="Phone"> Tel:</abbr> 81-90-2326 </address> <address> <strong>Nuestro Correo Electronico:</strong><br> <a href="mailto:#">crisalum@outlook.com</a> </address> </form> </div> </div> </div>

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